Cues Nursing Diagnosis Background Knowledge Nursing Objectives Nursing intervention with Rationale Evaluation

Dyspnea is defined as a After 8 hours of nursing ● Establish rapport 1. Patient

No Subjective Cues IneffectiveBreathi shortness of breath or intervention the patient will verbalized feeling
ng pattern R/T labored breathing. It able to: comfortable
Shortness of affect patients with - To gain comfort feelings form the when breathing.
Objective Cues: breath, cardiac and pulmonary 1. Report feeling patient and significant others.
bronchoconstrictio disorders. IT can comfortable when breathing.
-Weakness n. develop in any form of ● Monitor and record vital signs 2. Each visit, patient
-Fatigue heart disease, it usually 2. Report feeling rested reports that she
-Hypertension occurs with cardiac each visit. - To gain baseline data. feels rested.
-Dyspnea enlargement and other
pathologic, ● Assess and record RR and depth
Vital Signs: cardiovascular, atleast every hour. 3. When patient
BP=180/100 mmHg structural and 3. Restore normal carries out
RR=28bpm physiological changes. breathing pattern as - To detect early signs of respiratory activities of daily
HR=100bpm Dyspnea develops with manifested by absence of compromise. living, breathing
T=36.8 the left ventricle fails to dyspnea and normal RR. pattern remains
O2 sat-90% function and the lungs ● Assist patients to comfortable normal, RR is 20
become congested with 4. Demonstrate position, such as supporting upper breath/min.
fluid. appropriate coping behaviors extremities with pillows.

- These measures promote comfort

and chest expansion.
4. Patient showed
● Schedule necessary activities to appropriate
provide periods of rest. behaviour and
cooperative.
- Prevents fatigue and reduces
Oxygen demands.